Early Phacoemulsification After Acute Angle Closure in Patients With Coexisting Cataract

Autor: Henny J. M. Beckers, Rudy M.M.A. Nuijts, Jan S. A. G. Schouten, Christophe M Breusegem, Tos T. J. M. Berendschot, Hellen C S Römkens, Carroll A.B. Webers
Přispěvatelé: MUMC+: MA AIOS Oogheelkunde (9), MUMC+: MA Oogheelkunde (9), RS: MHeNs - R3 - Neuroscience, Oogheelkunde, MUMC+: AB Refractie Chirurgie Oogheelkunde (9), RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, MUMC+: *AB Oogheelkunde Sint Truiden (9), MUMC+: MA Oogheelkunde (3), MUMC+: MA UECM AIOS (9), MUMC+: MA UECM Oogartsen MUMC (9), MUMC+: *AB Refractie Chirurgie Oogheelkunde (9), MUMC+: *MA Oogheelkunde (3), Medical Image Analysis, Ophtalmology - Eye surgery
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Intraocular pressure
Medical therapy
genetic structures
Visual Acuity/physiology
medicine.medical_treatment
Glaucoma
Key Words: acute angle closure
Coexisting Cataract
OCCLUDABLE ANGLES
law.invention
0302 clinical medicine
Randomized controlled trial
law
Angle-Closure/complications
80 and over
Medicine
030212 general & internal medicine
LASER-PERIPHERAL-IRIDOTOMY
Medicine(all)
Aged
80 and over
Middle Aged
Treatment Outcome
cataract
Lens Implantation
Intraocular/methods
Acute Disease
Female
Lens Implantation
laser peripheral iridotomy
medicine.medical_specialty
EXTRACTION
Patients
Intraocular/methods
Acute angle
Cataract Extraction
PRESSURE
acute angle closure
Phacoemulsification/methods
Tonometry
03 medical and health sciences
Tonometry
Ocular
Glaucoma
Angle-Closure/complications
Ophthalmology
Ocular
Humans
In patient
EYES
Cataract/complications
Intraocular Pressure/physiology
Intraocular Pressure
Aged
Retrospective Studies
Phacoemulsification
ANTERIOR-CHAMBER DEPTH
business.industry
Retrospective cohort study
medicine.disease
RANDOMIZED-TRIAL
eye diseases
030221 ophthalmology & optometry
sense organs
ASIAN POPULATION
business
INTRAOCULAR-LENS IMPLANTATION
Zdroj: Journal of Glaucoma, 28(2), E34-E35. LIPPINCOTT WILLIAMS & WILKINS
Journal of Glaucoma, 27(8), 711-716. LIPPINCOTT WILLIAMS & WILKINS
Journal of Glaucoma, 27(8), 711-716. Lippincott Williams and Wilkins Ltd.
Journal of Glaucoma, 28(2), E34-E35. Lippincott Williams and Wilkins Ltd.
ISSN: 1057-0829
Popis: Purpose: The purpose of this study is to evaluate the effect of early phacoemulsification on the management of acute angle closure glaucoma in patients with coexisting cataract after initial treatment with medical therapy and laser peripheral iridotomy.Patients and Methods: This study involved a retrospective analysis of patients presenting to the Maastricht University Medical Center+ with acute angle closure and coexisting cataract between 2005 and 2015. Patients were included after initial treatment with a standard protocol comprising topical and systemic medical therapy and laser peripheral iridotomy. Patients underwent small-incision phacoemulsification with intraocular lens implantation into the capsular bag by experienced surgeons within 3 months of the acute angle closure episode. The effect on intraocular pressure, number of glaucoma medications, visual acuity, and complications was assessed.Results: A total 35 patients were included in the study (mean age, 71 +/- 10 y; 20% male; mean refractive error, +1.6 +/- 1.8 diopters). The mean duration between acute angle closure episode and phacoemulsification was 37 +/- 22 days. There were no complications. Intraocular pressure decreased in all patients from 17.0 +/- 8.2 mm Hg to 13.2 +/- 3.9 mm Hg after 3 months (P = 0.008), whereas the mean number of glaucoma medications decreased from 2.9 +/- 1.1 to 0.7 +/- 0.9 (P Conclusions: Early phacoemulsification with intraocular lens implantation results in a reduced intraocular pressure and number of glaucoma medications after an acute angle closure glaucoma crisis in patients with coexisting cataract. Although surgery may be challenging, the results are promising, with significant improvement in visual acuity in most patients.
Databáze: OpenAIRE
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